Investigations Into The Origin Of COVID-19
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There are several ongoing efforts by scientists, governments, international organisations, and others to determine the origin of
SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19 (coronavirus disease 2019), the respiratory illness responsible for the ongoing COVID-19 pandemic. The virus previously had a ...
, the virus responsible for the
COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identi ...
. Most scientists say that as with other pandemics in human history, the virus is likely of
zoonotic A zoonosis (; plural zoonoses) or zoonotic disease is an infectious disease of humans caused by a pathogen (an infectious agent, such as a bacterium, virus, parasite or prion) that has jumped from a non-human (usually a vertebrate) to a human. ...
origin in a natural setting, and ultimately originated from a
bat-borne virus The bat virome is the group of viruses associated with bats. Bats host a diverse array of viruses, including all seven types described by the Baltimore classification system: (I) double-stranded DNA viruses; (II) single-stranded DNA viruses; ...
. Many other explanations, including several
conspiracy theories A conspiracy theory is an explanation for an event or situation that invokes a conspiracy by sinister and powerful groups, often political in motivation, when other explanations are more probable.Additional sources: * * * * The term has a nega ...
, have been proposed about the origins of the virus. Some scientists and politicians have speculated that SARS-CoV-2 was accidentally released from a laboratory, but this theory is considered much less likely than a natural origin due to the absence of supporting evidence. SARS-CoV-2 has close genetic similarity to multiple previously identified bat coronaviruses, suggesting it crossed over into humans from bats. Research is ongoing as to whether SARS-CoV-2 came directly from bats or indirectly through any intermediate hosts. Initial
genome In the fields of molecular biology and genetics, a genome is all the genetic information of an organism. It consists of nucleotide sequences of DNA (or RNA in RNA viruses). The nuclear genome includes protein-coding genes and non-coding g ...
sequences of the virus showed little genetic diversity, although subsequently a number of stable variants emerged (some spreading more vigorously), indicating that the spillover event introducing SARS-CoV-2 to humans is likely to have occurred in late 2019. Health authorities and scientists internationally state that as with the 2002–2004 outbreak of SARS-1, efforts to trace the specific geographic and taxonomic origins of SARS-CoV-2 could take years, and the results could be inconclusive. In January 2021, the
World Health Assembly The World Health Assembly (WHA) is the forum through which the World Health Organization (WHO) is governed by its 194 member states. It is the world's highest health policy setting body and is composed of health ministers from member states. Th ...
(decision-making body of the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of ...
(WHO)) commissioned a study on the origins of the virus, to be conducted jointly between WHO experts and Chinese scientists. In March 2021, the findings of this study were published online in a report to the WHO Commissioner-General. Echoing the assessment of most virologists, the report determined that the virus most likely had a zoonotic origin in bats, possibly transmitted through an intermediate host. It also stated that a laboratory origin for the virus was "extremely unlikely". Scientists found the conclusions of the WHO report to be helpful but noted that more work was needed. In the United States, the European Union, and other countries, some criticised the lack of transparency and data access in the report's formulation. The WHO issued its 30 March report alongside a statement of the
WHO director-general The director-general of the World Health Organization (WHO) is the chief executive officer of WHO and the principal advisor to the United Nations on matters pertaining global health. The director general is elected by and answers to the World Heal ...
Tedros Adhanom Ghebreyesus Tedros Adhanom Ghebreyesus ( ti, ቴዎድሮስ አድሓኖም ገብረኢየሱስ, sometimes spelt ti, ቴድሮስ ኣድሓኖም ገብረየሱስ, label=none; born 3 March 1965) is an Ethiopian public health official, researcher, and ...
saying that the matter "requires further investigation". The U.S. government and 13 other countries and the EU issued statements on the same day, echoing Tedros's critique of the report for lacking transparency and data access in its formulation. In a later press conference, the WHO director-general said it was "premature" for the WHO's report to rule out a potential link between a laboratory leak and called on China to provide 'raw data' and lab audits in a second phase of investigations. On 12 October 2021, the WHO announced a new team to study the origins of the COVID-19 pandemic. In June 2022, this team released an additional report advocating for more investigations in the various possible pathways of emergence, including the possibility of a lab leak. Earlier, on 22 July 2021, the Chinese government had held a press conference in which Zeng Yixin, Vice Health Minister of the
National Health Commission The National Health Commission of the People's Republic of China is a cabinet-level executive department of the State Council which is responsible for formulating national health policies. It was formed on 19 March 2018. The ministry is headq ...
(NHC), said that China would not participate in a second phase of the WHO's investigation, denouncing it as "shocking" and "arrogant". In response to the WHO's June 2022 report, Chinese Foreign Ministry spokesperson
Zhao Lijian Zhao Lijian (; born 10 November 1972) is a Chinese politician and the deputy director of the Chinese Ministry of Foreign Affairs Information Department. He is the 31st spokesperson since the position was established in 1983. He joined the forei ...
called the lab leak theory "a lie concocted by anti-China forces for political purposes, which has nothing to do with science".


Scientific background

COVID-19 is caused by infection with a virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). SARS-CoV-2 appears to have originated in bats and to have spread to humans by
zoonotic A zoonosis (; plural zoonoses) or zoonotic disease is an infectious disease of humans caused by a pathogen (an infectious agent, such as a bacterium, virus, parasite or prion) that has jumped from a non-human (usually a vertebrate) to a human. ...
transfer. Its exact evolutionary history, the identity and provenance of its most recent ancestors, and the place, time, and mechanism of transmission of the first human infection, remain unknown. The biology and regional distribution of other coronaviruses in southeast Asia, including SARS-CoV, help scientists understand more about the origins of SARS-CoV-2.
Taxonomically In biology, taxonomy () is the scientific study of naming, defining ( circumscribing) and classifying groups of biological organisms based on shared characteristics. Organisms are grouped into taxa (singular: taxon) and these groups are given ...
, SARS-CoV-2 is a virus of the species ''
severe acute respiratory syndrome–related coronavirus ''Severe acute respiratory syndrome–related coronavirus'' (SARSr-CoV or SARS-CoV)The terms ''SARSr-CoV'' and ''SARS-CoV'' are sometimes used interchangeably, especially prior to the discovery of SARS-CoV-2. This may cause confusion when some ...
'' (SARSr-CoV). It is believed to have
zoonotic A zoonosis (; plural zoonoses) or zoonotic disease is an infectious disease of humans caused by a pathogen (an infectious agent, such as a bacterium, virus, parasite or prion) that has jumped from a non-human (usually a vertebrate) to a human. ...
origins and has close genetic similarity to bat coronaviruses, suggesting it emerged from a
bat-borne virus The bat virome is the group of viruses associated with bats. Bats host a diverse array of viruses, including all seven types described by the Baltimore classification system: (I) double-stranded DNA viruses; (II) single-stranded DNA viruses; ...
. Research is ongoing as to whether SARS-CoV-2 came directly from bats or indirectly through any intermediate hosts. The virus shows little genetic diversity, indicating that the spillover event introducing SARS-CoV-2 to humans is likely to have occurred in late 2019. Ultimately, the specific evolutionary history of SARS-CoV-2 in relation to other coronaviruses will be critical to understanding how, where and when the virus spilled over into a human population.


Reservoir and origin

Available scientific evidence suggests that SARS-CoV-2 has a natural zoonotic origin. Yet its origin, which remains unknown, has become debated within the context of global geopolitical tensions. Early in the pandemic, conspiracy theories spread on social media claiming that the virus was a
biological weapon A biological agent (also called bio-agent, biological threat agent, biological warfare agent, biological weapon, or bioweapon) is a bacterium, virus, protozoan, parasite, fungus, or toxin that can be used purposefully as a weapon in bioterroris ...
developed by China, amplified by echo chambers in the American far-right. Other conspiracy theories promoted misinformation that the virus is not communicable or was created to profit from new vaccines. Some politicians and scientists have speculated that the virus may have accidentally leaked from the
Wuhan Institute of Virology The Wuhan Institute of Virology, Chinese Academy of Sciences (WIV; ) is a research institute on virology administered by the Chinese Academy of Sciences (CAS), which reports to the State Council of the People's Republic of China. The institute ...
. This has led to calls in the media for further investigations into the matter. Many virologists who have studied coronaviruses consider the possibility very remote. The
WHO-convened Global Study of the Origins of SARS-CoV-2 The WHO-convened Global Study of Origins of SARS-CoV-2 or the Joint WHO-China Study was a collaborative study between the World Health Organization and the Government of China on the origins of COVID-19. The study was commissioned by the Director-G ...
from March 2021 stated that such an explanation is extremely unlikely. In an interview on 12 August 2021, Peter Ben Embarek, the chief investigator of the WHO team, told a Danish TV documentary that the WHO team felt pressured from Chinese scientists to put "extremely unlikely" as their assessment. A 2021 study found possible links between climate change and transmission of COVID-19 by bats. The authors found that climate-driven changes in the distribution and richness of bat species harboring coronaviruses may have occurred leading to a concentration of such species in eastern Asian hotspots (southern China, Myanmar and Laos). Tell conditions favors transmission of viruses. In this area live pangolins that are sold among other in the Wuhan wet market and are suspected of being the intermediate host in the transmission of
SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19 (coronavirus disease 2019), the respiratory illness responsible for the ongoing COVID-19 pandemic. The virus previously had a ...
who cause the pandemic. The study was cited at 22 other studies in the National Library of Medicine of the USA. Before
World Health Day World Health Day is a global health awareness day celebrated every year on 7 April, under the sponsorship of the World Health Organization (WHO), as well as other related organizations. In 1948, the WHO held the First World Health Assembly. ...
2022, the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of ...
mentioned on its site that: "There is growing evidence of a direct connection between environmental change and the emergence or transmission of COVID-19".


Phylogenetics and taxonomy


Origin scenarios

The origin of SARS-CoV-2 has been the subject of debate. There are multiple proposed explanations for how SARS-CoV-2 was introduced into, and evolved adaptations suited to, the human population. There is significant evidence and agreement that the most likely original viral reservoir for SARS-CoV-2 is
horseshoe bats A horseshoe is a fabricated product designed to protect a horse hoof from wear. Shoes are attached on the palmar surface (ground side) of the hooves, usually nailed through the insensitive hoof wall that is anatomically akin to the human toe ...
, with the closest known viral relative being
RaTG13 Bat coronavirus RaTG13 is a SARS-like betacoronavirus that infects the horseshoe bat '' Rhinolophus affinis''. It was discovered in 2013 in bat droppings from a mining cave near the town of Tongguan in Mojiang county in Yunnan, China. In Februa ...
. The evolutionary distance between SARS-CoV-2 and RaTG13 is estimated to be about 50 years (between 38 and 72 years). The earliest human cases of SARS-CoV-2 were identified in Wuhan, but the
index case The index case or patient zero is the first documented patient in a disease epidemic within a population, or the first documented patient included in an epidemiological study. It can also refer to the first case of a condition or syndrome (not n ...
remains unknown. RaTG13 was sampled from bats in Yunnan, located roughly away from Wuhan, and there are relatively few bat coronaviruses from Hubei province. Each origin hypothesis attempts to explain this gap in virus evolution and location a different way. These scenarios continue to be investigated to identify the definitive origin of the virus.


Direct zoonotic transmission in a natural setting

The most direct pathway of introduction is direct zoonotic transmission (also known as spillover) from the reservoir species to humans. Scientists consider this to be a highly likely origin of the SARS-CoV-2 virus in humans. Human contact with bats has increased as human population centers encroach on bat habitats, leading to increased opportunities for spillover. Bats are a significant reservoir species for a diverse range of coronaviruses, and humans have been found with antibodies for them suggesting that this form of direct infection by bats is common. However, in this scenario, the direct ancestor of SARS-CoV-2 remains undiscovered in bats.


Intermediate host

In addition to direct spillover, another pathway, considered highly likely by scientists, is that of transmission through an intermediate host. Specifically, this implies that a cross species transmission occurred prior to the human outbreak and that it had
pathogen In biology, a pathogen ( el, πάθος, "suffering", "passion" and , "producer of") in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a germ ...
ic results on the animal. This pathway has the potential to allow for greater adaptation to human transmission via animals with more similar protein shapes to humans, though this is not required for the scenario to occur. The evolutionary separation from bat viruses is explained in this case by the virus' presence in an unknown species with less viral surveillance than bats. The virus' ability to easily infect and adapt to additional species (including mink) provides evidence that such a route of transmission is possible.


Cold/food chain

Another proposed introduction to humans is through fresh or frozen food products, referred to as the cold/food chain. Scientists do not consider this to be a likely origin of SARS-CoV-2 in humans. This scenario's source animal could be either a direct or intermediary species as described above. Many investigations centered around the
Huanan Seafood Wholesale Market The Wuhan Huanan Seafood Wholesale Market (), simply known as the Huanan Seafood Market (''Huanan'' means 'South China'), was a live animal and seafood market in Jianghan District, Wuhan City, the capital of Hubei Province in Central China. T ...
in Wuhan, which had an early cluster of cases. While there have been food-borne outbreaks of human viruses in the past, and evidence of re-introduction of SARS-CoV-2 into China through imported frozen foods, investigations found no conclusive evidence of viral contamination in products at the Huanan Market.


Laboratory incident

A final scenario, assessed to be unlikely by most experts, but supported by a minority of experts, is known as the lab leak hypothesis. The theory considers that the possibility that the virus was introduced to humans due to an intentional or unintentional laboratory escape. This scenario would have involved laboratory staff becoming infected from contact with live bats (wild or captive), from contact with biological samples, or from contact with viruses being grown in vitro. There is no evidence SARS-CoV-2 existed in any laboratory prior to the pandemic. An original animal reservoir has not yet been confirmed, though several candidate species have been identified. Central to the idea of a Chinese leak is the misconception that it is distinctively suspicious that an outbreak should happen to occur in a city with a virology institute (the
Wuhan Institute of Virology The Wuhan Institute of Virology, Chinese Academy of Sciences (WIV; ) is a research institute on virology administered by the Chinese Academy of Sciences (CAS), which reports to the State Council of the People's Republic of China. The institute ...
) nearby; most large Chinese cities have similar institutes. The idea of a leak there also gained support due to suspicions about the secrecy of the Chinese government's response and has been informed by racist undercurrents. The
Wuhan Institute of Virology The Wuhan Institute of Virology, Chinese Academy of Sciences (WIV; ) is a research institute on virology administered by the Chinese Academy of Sciences (CAS), which reports to the State Council of the People's Republic of China. The institute ...
(WIV) has performed research into bat coronaviruses since 2005, and identified the RaTG13 virus in 2013, which is the closest known relative of SARS-CoV-2. WIV research interests have included investigations into the source of the
2002–2004 SARS outbreak The 2002–2004 outbreak of SARS, caused by severe acute respiratory syndrome coronavirus (SARS-CoV or SARS-CoV-1), infected over 8,000 people from 29 countries and territories, and resulted in at least 774 deaths worldwide. The outbreak was ...
and 2012 MERS outbreak, in collaboration with US researchers. The proximity of the laboratory to the Huanan seafood market has led some to speculate there may be a link between the two, and politicians, media personalities, and some scientists have called for further investigations into the matter. Experts have ruled out intentional manipulation of the virus (i.e. biological engineering) as a plausible origin, "When you work with this particular virus in the lab, it becomes less capable of being a human pathogen and becomes more of a cell culture adapted virus"..."So that suggests, again, that it's unlikely that this virus, if it were being passaged extensively in cell culture, would jump out of cell culture into people and start a pandemic." – Angella Rasmussen due to a lack of supporting evidence, and growing evidence in favor of a natural origin. New York-based,
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
–funded
EcoHealth Alliance EcoHealth Alliance is a US-based non-governmental organization with a stated mission of protecting people, animals, and the environment from emerging infectious diseases. The nonprofit is focused on research that aims to prevent pandemics and p ...
has been the subject of controversy and increased scrutiny due to its ties to the Wuhan Institute of Virology. Under political pressure, the National Institutes of Health (NIH) withdrew funding to EcoHealth Alliance in July 2020. A WHO-convened study published in March 2021 considered the possibility of a collected natural virus inadvertently infecting laboratory staff, assessing it to be "extremely unlikely". On 15 July 2021 WHO director-general
Tedros Adhanom Tedros Adhanom Ghebreyesus ( ti, ቴዎድሮስ አድሓኖም ገብረኢየሱስ, sometimes spelt ti, ቴድሮስ ኣድሓኖም ገብረየሱስ, label=none; born 3 March 1965) is an Ethiopian public health official, researcher, and ...
stated in a speech that there had been a "premature push" to discredit the idea of a lab leak. Later on in the same speech, he expanded, "I was a lab technician, an immunologist, and worked in the lab. And lab accidents happen." The WHO has planned a second phase of investigation that will include "audits of relevant laboratories and research institutions". However, China has rejected this plan stating "it is impossible for us to accept such an origin-tracing plan". An even less likely lab-leak theory has been proposed by some in the Chinese government who have claimed that the virus came from a U.S. military laboratory. Chinese government demands to investigate the U.S. lab at
Fort Detrick Fort Detrick () is a United States Army Futures Command installation located in Frederick, Maryland. Historically, Fort Detrick was the center of the U.S. biological weapons program from 1943 to 1969. Since the discontinuation of that program, it ...
have been said to be intended to deflect attention from Wuhan.


Investigations


Chinese government

The first investigation conducted in China was by the Wuhan Municipal Health Commission, responding to hospitals reporting cases of pneumonia of unknown etiology, resulting in the closure of the
Huanan Seafood Wholesale Market The Wuhan Huanan Seafood Wholesale Market (), simply known as the Huanan Seafood Market (''Huanan'' means 'South China'), was a live animal and seafood market in Jianghan District, Wuhan City, the capital of Hubei Province in Central China. T ...
on 1 January 2020 for sanitation and disinfection. The market was originally suspected of being the source of the virus; however, the Chinese government and the WHO determined later that it was not. In April 2020, China imposed restrictions on publishing academic research on the novel coronavirus. Investigations into the origin of the virus would receive extra scrutiny and must be approved by
Central Government A central government is the government that is a controlling power over a unitary state. Another distinct but sovereign political entity is a federal government, which may have distinct powers at various levels of government, authorized or dele ...
officials. The restrictions do not ban research or publication, including with non-Chinese researchers;
Ian Lipkin Walter Ian Lipkin (born November 18, 1952) is the John Snow Professor of Epidemiology at the Mailman School of Public Health at Columbia University and a professor of Neurology and Pathology at the College of Physicians and Surgeons at Columbia ...
, a US scientist, has been working with a team of Chinese researchers under the auspices of the
Chinese Center for Disease Control and Prevention The Chinese Center for Disease Control and Prevention (CCDC; ) is an institution directly under the National Health Commission, based in Changping District, Beijing, China. Established in 1983, it works to protect public health and safety ...
, a Chinese government agency, to investigate the origin of the virus. Lipkin has long-standing relationships with Chinese officials, including premier Li Keqiang, because of his contributions to rapid testing for
SARS Severe acute respiratory syndrome (SARS) is a viral respiratory disease of zoonotic origin caused by the severe acute respiratory syndrome coronavirus (SARS-CoV or SARS-CoV-1), the first identified strain of the SARS coronavirus species, ''seve ...
in 2003.


United States government


Trump administration

On 6 February 2020, the director of the White House's Office of Science and Technology Policy requested the National Academies of Sciences, Engineering, and Medicine to convene a meeting of "experts, world class geneticists, coronavirus experts, and evolutionary biologists", to "assess what data, information and samples are needed to address the unknowns, in order to understand the evolutionary origins of COVID-19 and more effectively respond to both the outbreak and any resulting information". In April 2020, it was reported that the
US intelligence community The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territori ...
was investigating whether the virus came from an accidental leak from a Chinese lab. The hypothesis was one of several possibilities being pursued by the investigators. US Secretary of Defense
Mark Esper Mark Thomas Esper (born April 26, 1964) is an American politician and manufacturing executive who served as the 27th United States secretary of defense from 2019 to 2020. A member of the Republican Party, he had previously served as the 23rd ...
said the results of the investigation were "inconclusive". By the end of April 2020, the
Office of the Director of National Intelligence The director of national intelligence (DNI) is a senior, cabinet-level United States government official, required by the Intelligence Reform and Terrorism Prevention Act of 2004 to serve as executive head of the United States Intelligence Comm ...
said the US intelligence community believed the coronavirus was not man-made or genetically modified. US officials criticised the "terms of reference" allowing Chinese scientists to do the first phase of preliminary research. On 15 January 2021, US Secretary of State
Mike Pompeo Michael Richard Pompeo (; born December 30, 1963) is an American politician, diplomat, and businessman who served under President Donald Trump as director of the Central Intelligence Agency (CIA) from 2017 to 2018 and as the 70th United State ...
said that to assist the WHO investigative team's work and ensure a transparent, thorough investigation of COVID-19's origin, the US was sharing new information and urging the WHO to press the Chinese government to address three specific issues, including the illnesses of several researchers inside the WIV in autumn 2019 "with symptoms consistent with both COVID-19 and common seasonal illnesses", the WIV's research on "
RaTG13 Bat coronavirus RaTG13 is a SARS-like betacoronavirus that infects the horseshoe bat '' Rhinolophus affinis''. It was discovered in 2013 in bat droppings from a mining cave near the town of Tongguan in Mojiang county in Yunnan, China. In Februa ...
" and "
gain of function Gain-of-function research (GoF research or GoFR) is medical research that genetically alters an organism in a way that may enhance the biological functions of gene products. This may include an altered pathogenesis, transmissibility, or host r ...
", and the WIV's links to the People's Liberation Army. On 18 January, the US called on China to allow the WHO's expert team to interview "care givers, former patients and lab workers" in the city of Wuhan, drawing a rebuke from the Chinese government. Australia also called for the WHO team to have access to "relevant data, information and key locations". A classified report from May 2020 by the Lawrence Livermore National Laboratory, a US government national laboratory, concluded that the hypothesis that the virus leaked from the WIV "is plausible and deserves further investigation", although the report also notes that the virus could have developed naturally, echoing the consensus of the American intelligence community, and provides no "smoking gun" towards either hypothesis.


Biden administration

On 13 February 2021, the White House said it had "deep concerns" about both the way the WHO's findings were communicated and the process used to reach them. Mirroring concerns raised by the Trump administration, National Security Adviser
Jake Sullivan Jacob Jeremiah Sullivan (born November 28, 1976) is an American political advisor who currently serves as the United States National Security Advisor to President Joe Biden. He was previously Director of Policy to President Barack Obama, Nation ...
stated that it was essential that the WHO-convened report be independent and "free from alteration by the Chinese government". On 14 April 2021, the Director of National Intelligence
Avril Haines Avril Danica Haines (born August 27, 1969) is an American lawyer and senior government official who serves as the director of national intelligence in the Biden administration. She is the first woman to serve in this role. Haines previously se ...
, along with other Biden administration officials, said that they had not ruled out the possibility of a laboratory accident as the origin of the COVID-19 virus. On 26 May 2021, President Joe Biden directed the U.S. intelligence community to produce a report within 90 days on whether the COVID-19 virus originated from a human contact with an infected animal or from an accidental lab leak, stating his national security staff said there is insufficient evidence to determine either hypothesis to be more likely. On 26 August 2021, the
Office of the Director of National Intelligence The director of national intelligence (DNI) is a senior, cabinet-level United States government official, required by the Intelligence Reform and Terrorism Prevention Act of 2004 to serve as executive head of the United States Intelligence Comm ...
released an unclassified summary of their findings, with the main point being that the report remained inconclusive as to the origin of the virus, with intelligence agencies divided on the question. The report also concluded that the virus was most likely not genetically engineered, and that China had no foreknowledge of the virus prior to the outbreak. The report concluded that a final determination of the origin was unlikely without cooperation from the Chinese government, saying their prior lack of transparency "reflect din part China's government's own uncertainty about where an investigation could lead, as well as its frustration that the international community is using the issue to exert political pressure on China." Chinese foreign ministry spokesman Wang Wenbin said that the US intelligence report was "unscientific and has no credibility". On 23 May 2021, ''
The Wall Street Journal ''The Wall Street Journal'' is an American business-focused, international daily newspaper based in New York City, with international editions also available in Chinese and Japanese. The ''Journal'', along with its Asian editions, is published ...
'' reported that a previously undisclosed US intelligence report stated that three researchers from the Wuhan Institute of Virology became ill enough in November 2019 to seek hospital care. The report did not specify what the illness was. Officials familiar with the intelligence differed as to the strength to which it corroborates the hypothesis that the virus responsible for COVID-19 was leaked from the WIV. The ''WSJ'' report notes that it is not unusual for people in China to go to the hospital with uncomplicated influenza or common cold symptoms. Yuan Zhiming, director of the WIV's Wuhan National Biosafety Laboratory, responded in the ''
Global Times The ''Global Times'' () is a daily tabloid newspaper under the auspices of the Chinese Communist Party's flagship newspaper, the '' People's Daily'', commenting on international issues from a Chinese ultra-nationalistic perspective. The pub ...
'', a Chinese state media outlet, that the "claims are groundless".
Marion Koopmans Maria Petronella Gerarda Koopmans (born 21 September 1956) is a Dutch virologist who is Head of the Erasmus MC Department of Viroscience. Her research considers emerging infectious diseases, noroviruses and veterinary medicine. In 2018 she was aw ...
, a member of the WHO study team, described the number of flu-like illnesses at the WIV in 2019 as "completely normal". Workers at the WIV must provide yearly serum samples. WIV virologist
Shi Zhengli Shi Zhengli (; born 26 May 1964) is a Chinese virologist who researches SARS-like coronaviruses of bat origin. Shi directs the Center for Emerging Infectious Diseases at the Wuhan Institute of Virology (WIV). In 2017, Shi and her colleague Cui ...
said in 2020 that, based on an evaluation of those serum samples, all staff tested negative for COVID-19 antibodies. The resurgence of the theory of a laboratory accident was fueled in part by the publication, in May 2021, of early emails between Anthony Fauci and scientists discussing the issue, before deliberate manipulation was ruled out as of March 2020. On 14 July 2021, the House Committee on Science, Space and Technology held the first congressional hearing on the origins of the virus. Bill Foster, an Illinois Democrat who chaired the hearing, said the Chinese government's lack of transparency is not in itself evidence of a lab leak and cautioned that answers may not be known even after the administration produces its intelligence report. Expert witnesses Stanley Perlman and David Relman presented to the congressman different proposed explanations for the origins of the virus and how to conduct further investigations. On 16 July 2021,
CNN CNN (Cable News Network) is a multinational cable news channel headquartered in Atlanta, Georgia, U.S. Founded in 1980 by American media proprietor Ted Turner and Reese Schonfeld as a 24-hour cable news channel, and presently owned by ...
reported that Biden administration officials considered the lab leak theory "as credible" as the natural origins theory. In October 2022, an interim report of a Republican member of a US Senate committee concluded that a lab origin was most likely, but offered "little new evidence", according to ''The New York Times''.


World Health Organization

The World Health Organization has declared that finding where SARS-CoV-2 came from is a priority and that it is "essential for understanding how the pandemic started." In May 2020, the
World Health Assembly The World Health Assembly (WHA) is the forum through which the World Health Organization (WHO) is governed by its 194 member states. It is the world's highest health policy setting body and is composed of health ministers from member states. Th ...
, which governs the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of ...
(WHO), passed a motion calling for a "comprehensive, independent and impartial" study into the COVID-19 pandemic. A record 137 countries, including China, co-sponsored the motion, giving overwhelming international endorsement to the study. In mid 2020, the World Health Organization (WHO) began negotiations with the government of China on conducting an official study into the origins of COVID-19. In November 2020, the WHO published a two-phase study plan. The purpose of the first phase was to better understand how the virus "might have started circulating in Wuhan", and a second phase involves longer-term studies based on the findings of the first phase. WHO director-general
Tedros Adhanom Tedros Adhanom Ghebreyesus ( ti, ቴዎድሮስ አድሓኖም ገብረኢየሱስ, sometimes spelt ti, ቴድሮስ ኣድሓኖም ገብረየሱስ, label=none; born 3 March 1965) is an Ethiopian public health official, researcher, and ...
said "We need to know the origin of this virus because it can help us to prevent future outbreaks," adding, "There is nothing to hide. We want to know the origin, and that's it." He also urged countries not to politicise the origin tracing process, saying that would only create barriers to learning the truth.


Phase 1

For the first phase, the WHO formed a team of ten researchers with expertise in virology, public health and animals to conduct a thorough study. One of the team's tasks was to retrospectively ascertain what wildlife was being sold in local wet markets in Wuhan. The WHO's phase one team arrived and quarantined in
Wuhan Wuhan (, ; ; ) is the capital of Hubei Province in the People's Republic of China. It is the largest city in Hubei and the most populous city in Central China, with a population of over eleven million, the ninth-most populous Chinese city an ...
, Hubei, China in January 2021. Members of the team included Thea Fisher, John Watson,
Marion Koopmans Maria Petronella Gerarda Koopmans (born 21 September 1956) is a Dutch virologist who is Head of the Erasmus MC Department of Viroscience. Her research considers emerging infectious diseases, noroviruses and veterinary medicine. In 2018 she was aw ...
, Dominic Dwyer, Vladimir Dedkov, Hung Nguyen-Viet, Fabian Leendertz, Peter Daszak, Farag El Moubasher, and Ken Maeda. The team also included five WHO experts led by Peter Ben Embarek, two
Food and Agriculture Organization The Food and Agriculture Organization of the United Nations (FAO)french: link=no, Organisation des Nations unies pour l'alimentation et l'agriculture; it, Organizzazione delle Nazioni Unite per l'Alimentazione e l'Agricoltura is an intern ...
representatives, and two representatives from the
World Organisation for Animal Health The World Organisation for Animal Health (WOAH), formerly the (OIE), is an intergovernmental organization coordinating, supporting and promoting animal disease control. Mission and status The main objective of the WOAH is to control epizo ...
. The inclusion of Peter Daszak in the team stirred controversy. Daszak is the head of
EcoHealth Alliance EcoHealth Alliance is a US-based non-governmental organization with a stated mission of protecting people, animals, and the environment from emerging infectious diseases. The nonprofit is focused on research that aims to prevent pandemics and p ...
, a nonprofit that studies spillover events, and has been a longtime collaborator of over 15 years with
Shi Zhengli Shi Zhengli (; born 26 May 1964) is a Chinese virologist who researches SARS-like coronaviruses of bat origin. Shi directs the Center for Emerging Infectious Diseases at the Wuhan Institute of Virology (WIV). In 2017, Shi and her colleague Cui ...
,
Wuhan Institute of Virology The Wuhan Institute of Virology, Chinese Academy of Sciences (WIV; ) is a research institute on virology administered by the Chinese Academy of Sciences (CAS), which reports to the State Council of the People's Republic of China. The institute ...
's director of the Center for Emerging Infectious Diseases. While Daszak is highly knowledgeable about Chinese laboratories and the emergence of diseases in the area, his close connection with the WIV was seen by some as a conflict of interest in the WHO's study. When a
BBC News BBC News is an operational business division of the British Broadcasting Corporation (BBC) responsible for the gathering and broadcasting of news and current affairs in the UK and around the world. The department is the world's largest broad ...
journalist asked about his relationship with the WIV, Daszak said, "We file our papers, it's all there for everyone to see." The team was denied access to raw data, including the list of early patients, swabs, and blood samples. It was allowed only a few hours of supervised access to the
Wuhan Institute of Virology The Wuhan Institute of Virology, Chinese Academy of Sciences (WIV; ) is a research institute on virology administered by the Chinese Academy of Sciences (CAS), which reports to the State Council of the People's Republic of China. The institute ...
.


= Findings

= In February 2021, after conducting part of their study, the WHO stated that the likely origin of COVID-19 was a zoonotic event from a virus circulating in bats, likely through another animal carrier, and that the time of transmission to humans was likely towards the end of 2019. The Chinese and the international experts who jointly carried out the WHO-convened study consider it "extremely unlikely" that COVID-19 leaked from a lab. No evidence of a lab leak from the Wuhan Institute of Virology was found by the WHO team, with team leader Peter Ben Embarek stating that it was "very unlikely" due to the safety protocols in place. During a '' 60 Minutes'' interview with Lesley Stahl, Peter Daszak, another member of the WHO team, described the investigation process to be a series of questions and answers between the WHO team and the Wuhan lab staff. Stahl made the comment that the team was "just taking their word for it", to which Daszak replied, "Well, what else can we do? There's a limit to what you can do and we went right up to that limit. We asked them tough questions. They weren't vetted in advance. And the answers they gave, we found to be believable—correct and convincing." The investigation also stated that transfer from animals to humans was unlikely to have occurred at the Huanan Seafood Market, since infections without a known epidemiological link were confirmed before the outbreak around the market. In an announcement that surprised some foreign experts, the joint investigation concluded that early transmission via the
cold chain A cold chain is a low temperature-controlled supply chain network. An unbroken cold chain is an uninterrupted series of refrigerated production, storage and distribution activities, along with associated equipment and logistics, which maintain qu ...
of frozen products was "possible." In March 2021, the WHO published a written report with the results of the study. The joint team stated that there are four scenarios for introduction: * direct zoonotic transmission to humans (spillover), assessed as "possible to likely" * introduction through an intermediate host followed by a spillover, assessed as "likely to very likely" * introduction through the (cold) food chain, assessed as "possible" * introduction through a laboratory incident, assessed as "extremely unlikely" The report mentions that direct zoonotic transmission to humans has a precedent, as most current human coronaviruses originated in animals. Zoonotic transmission is also supported by the fact that RaTG13 binds to hACE2, although the fit is not optimal. The investigative team noted the requirement for further studies, noting that these would "potentially increase knowledge and understanding globally."


= Reactions

= WHO director-general Tedros Adhanom, who was not directly involved with the investigation, said he was ready to dispatch additional missions involving specialist experts and that further research was required. He said in a statement, "Some explanations may be more probable than others, but for now all possibilities remain on the table." He also said, "We have not yet found the source of the virus, and we must continue to follow the science and leave no stone unturned as we do." Tedros called on China to provide "more timely and comprehensive data sharing" as part of future investigations. News outlets noted that, though it was unrealistic to expect quick and huge results from the report, it "offered few clear-cut conclusions regarding the start of the pandemic", "failed to audit the Chinese official position at some parts of the report", and was "biased according to critics". Other scientists praised how the report details the pathways that can shed light on the origin, if explored later. After the publication of the report, politicians, talk show hosts, journalists, and some scientists advanced unsupported claims that SARS-CoV-2 may have come from the WIV. In the United States, calls to investigate a laboratory leak reached "fever pitch", fueling aggressive rhetoric resulting in antipathy towards people of Asian ancestry, and the bullying of scientists. The European Union, United States, and 13 other countries criticised the WHO-convened study, calling for transparency from China and access to the raw data and original samples. Chinese officials described these criticisms as an attempt to politicise the study. Scientists involved in the WHO report, including Liang Wannian, John Watson, and Peter Daszak, objected to the criticism, and said that the report was an example of the collaboration and dialogue required to successfully continue investigations into the matter. In a
letter Letter, letters, or literature may refer to: Characters typeface * Letter (alphabet), a character representing one or more of the sounds used in speech; any of the symbols of an alphabet. * Letterform, the graphic form of a letter of the alphabe ...
published in ''
Science Science is a systematic endeavor that Scientific method, builds and organizes knowledge in the form of Testability, testable explanations and predictions about the universe. Science may be as old as the human species, and some of the earli ...
'', a number of scientists, including Ralph Baric, argued that the accidental laboratory leak hypothesis had not been sufficiently investigated and remained possible, calling for greater clarity and additional data. Their letter was criticized by some virologists and public health experts, who said that a "hostile" and "divisive" focus on the WIV was unsupported by evidence, and would cause Chinese scientists and authorities to share less, rather than more data.


Phase 2

On 27 May 2021, Danish epidemiologist Tina Fischer spoke on the This Week in Virology podcast, advocating for a second phase of the study to audit blood samples for COVID-19 antibodies in China. WHO-convened study team member
Marion Koopmans Maria Petronella Gerarda Koopmans (born 21 September 1956) is a Dutch virologist who is Head of the Erasmus MC Department of Viroscience. Her research considers emerging infectious diseases, noroviruses and veterinary medicine. In 2018 she was aw ...
, on that same broadcast, advocated for WHO member states to make a decision on the second phase of the study, though she also cautioned that an investigatory audit of the laboratory itself may be inconclusive. In early July 2021, WHO emergency chief Michael Ryan said the final details of phase 2 were being worked out in negotiations between WHO and its member states, as the WHO works "by persuasion" and cannot compel any member state (including China) to cooperate. In July 2021 China rejected WHO requests for greater transparency, cooperation, and access to data as part of Phase 2. On 16 July 2021, Foreign Ministry spokesperson
Zhao Lijian Zhao Lijian (; born 10 November 1972) is a Chinese politician and the deputy director of the Chinese Ministry of Foreign Affairs Information Department. He is the 31st spokesperson since the position was established in 1983. He joined the forei ...
declared that China's position was that future investigations should be conducted elsewhere and should focus on cold chain transmission and the US military's labs. On 22 July 2021, the Chinese government held a press conference in which Zeng Yixin, Vice Health Minister of the National Health Commission (NHC), said that China would not participate in a second phase of the WHO's investigation, denouncing it as "shocking" and "arrogant". He elaborated "In some aspects, the WHO's plan for next phase of investigation of the coronavirus origin doesn't respect common sense, and it's against science. It's impossible for us to accept such a plan." On 9 June 2022, the SAGO group, in development of its function of advisor to the WHO, published its first preliminary report. This report summarised existing findings and recommended that further studies be undertaken into possibly pathways of emergence.


''The Lancet'' COVID-19 Commission task force

In November 2020, an international task force led by Peter Daszak, president of EcoHealth Alliance, was formed as part of ''The Lancet'' COVID-19 Commission, backed by the medical journal ''
The Lancet ''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, ...
''. Daszak stated that the task force was formed to "conduct a thorough and rigorous investigation into the origins and early spread of SARS-CoV-2". The task force has twelve members with backgrounds in
One Health One Health is an approach calling for "the collaborative efforts of multiple disciplines working locally, nationally, and globally, to attain optimal health for people, animals and our environment", as defined by the One Health Initiative Task For ...
, outbreak investigation,
virology Virology is the scientific study of biological viruses. It is a subfield of microbiology that focuses on their detection, structure, classification and evolution, their methods of infection and exploitation of host cells for reproduction, th ...
, lab
biosecurity Biosecurity refers to measures aimed at preventing the introduction and/or spread of harmful organisms (e.g. viruses, bacteria, etc.) to animals and plants in order to minimize the risk of transmission of infectious disease. In agriculture, thes ...
and disease ecology. The task force plans to analyse scientific findings and does not plan to visit China. In June 2021, ''The Lancet'' announced that Daszak had
recuse Judicial disqualification, also referred to as recusal, is the act of abstaining from participation in an official action such as a legal proceeding due to a conflict of interest of the presiding court official or administrative officer. Applica ...
d himself from the commission. On 25 September 2021, the task force work was folded after procedural concerns and a need to broaden its scope to examine transparency and government regulation of risky laboratory research. In September 2022 the ''Lancet'' group published a wide-ranging report on the pandemic, including commentary on the virus origin overseen by the group's chairman, economist
Jeffrey Sachs Jeffrey David Sachs () (born 5 November 1954) is an American economist, academic, public policy analyst, and former director of The Earth Institute at Columbia University, where he holds the title of University Professor. He is known for his work ...
. The report suggested that the virus may have originated from an American laboratory, a notion long-promoted by Sachs, including on the podcast of conspiracy theorist
Robert F. Kennedy Jr. Robert Francis Kennedy Jr. (born January 17, 1954) is an American environmental lawyer and author known for promoting anti-vaccine propaganda and conspiracy theories. Kennedy is a son of U.S. senator Robert F. Kennedy and a nephew of President ...
Reacting to this, virologist
Angela Rasmussen Angela Lynn Rasmussen is an American virologist at the Vaccine and Infectious Disease Organization at the University of Saskatchewan in Canada. Education and early career During graduate school, Rasmussen worked in the laboratory of Vincent ...
commented that this may have been "one of The Lancet's most shameful moments regarding its role as a steward and leader in communicating crucial findings about science and medicine". Virologist David Robertson said the invocation of US laboratory involvement was "wild speculation" and that "it's really disappointing to see such a potentially influential report contributing to further misinformation on such an important topic".


Independent investigations

In June 2021, the NIH announced that a set of sequence data had been removed from the Sequence Read Archive (SRA) in June 2020. The removal was performed according to standard practice at the request of the investigators who owned the rights to the sequences, with the investigators' rationale that the sequences would be submitted to another database. The investigators subsequently published a paper in an academic journal the same month they were removed from the NIH database which described the sequences in detail and discussed their evolutionary relationship to other sequences, but did not include the raw data. Virologist David Robertson said that it was difficult to conclude it was a cover-up rather than the more likely explanation: a mundane deletion of data without malfeasance. The missing genetic sequence data was restored in a correction published 29 July 2021 after it was stated to be a copy-edit error.


International calls for investigations

In April 2020, Australian foreign minister
Marise Payne Marise Ann Payne (born 29 July 1964) is an Australian politician who served in the Morrison Government as Minister for Foreign Affairs from 2018 to 2022 and as Minister for Women from 2019 to 2022. She has been a Senator for New South Wales si ...
and Australian prime minister
Scott Morrison Scott John Morrison (; born 13 May 1968) is an Australian politician. He served as the 30th prime minister of Australia and as Leader of the Liberal Party of Australia from 2018 to 2022, and is currently the member of parliament (MP) for th ...
called for an independent international inquiry into the origins of the coronavirus pandemic. A few days later, German chancellor
Angela Merkel Angela Dorothea Merkel (; ; born 17 July 1954) is a German former politician and scientist who served as Chancellor of Germany from 2005 to 2021. A member of the Christian Democratic Union (CDU), she previously served as Leader of the Opp ...
also pressed China for transparency about the origin of the coronavirus, following similar concerns raised by the French president Emmanuel Macron. The UK also expressed support for an investigation, although both France and UK said the priority at the time was to first fight the virus. Some public health experts have also called for an independent examination of COVID-19's origins, "arguing WHO does not have the political clout to conduct such a forensic analysis". In May 2021, Prime Minister
Justin Trudeau Justin Pierre James Trudeau ( , ; born December 25, 1971) is a Canadian politician who is the 23rd and current prime minister of Canada. He has served as the prime minister of Canada since 2015 and as the leader of the Liberal Party since 2 ...
told reporters Canada would "support the call by the United States and others to better understand the origins of COVID-19." In June 2021, at the G7 summit in Cornwall, the attending leaders issued a joint statement calling for a new investigation, citing China's refusal to cooperate with certain aspects of the original WHO-convened study. This resistance to international pressure was one of the key findings of a ''Wall Street Journal'' investigation into the pandemic origin. The divisive nature of the debate has led scientists to call for less political pressure on the topic. Public health analysts have remarked that the debate over the origins of SARS-CoV-2 is fueling unnecessary confrontation, resulting in bullying and harassment of scientists, and is deepening existing geopolitical tensions and hindering collaboration at a time where such mutual cooperation is required, both to deal with the current pandemic and in preparation for future such outbreaks. This comes in the face of scientists having predicted such events for decades: according to Katie Woolaston, researcher at the
Queensland University of Technology Queensland University of Technology (QUT) is a public research university located in the urban coastal city of Brisbane, Queensland, Australia. QUT is located on two campuses in the Brisbane area viz. Gardens Point and Kelvin Grove. The univ ...
, "The environmental drivers of pandemics are not being widely discussed". The debate comes at a moment of difficult global relations with Chinese authorities. Researchers have noted that the politicisation of the debate is making the process more difficult, and that words are often twisted to become "fodder for conspiracy theories." A letter published in ''The Lancet'' in July 2021 remarked that the atmosphere of speculation surrounding the issue was of no help in making an objective assessment of the situation. In response to this letter, in a communication published in the same journal, a small group of researchers opposed the idea that scientists should promote unity and called for openness to alternative hypotheses. Despite the unlikelihood of the event, and although definitive answers are likely to take years of research, biosecurity experts have called for a review of global biosecurity policies, citing known gaps in international standards for biosafety. The situation has also reignited a debate over
gain-of-function research Gain-of-function research (GoF research or GoFR) is medical research that genetically alters an organism in a way that may enhance the biological functions of gene products. This may include an altered pathogenesis, transmissibility, or host ra ...
, although the intense political rhetoric surrounding the issue has threatened to sideline serious inquiry over policy in this domain.


See also

*
Scientific Advisory Group for Origins of Novel Pathogens Scientific Advisory Group for Origins of Novel Pathogens (or SAGO) is a permanent advisory body of the World Health Organization, formed in July 2021, with a broad objective to examine emerging infectious diseases, including COVID-19. According ...
*
World Health Organization's response to the COVID-19 pandemic The World Health Organization (WHO) is a leading organisation involved in the global coordination for mitigating the COVID-19 pandemic within the broader United Nations response to the pandemic. On 5 January 2020, the WHO notified the world a ...


References

{{Portal bar, COVID-19, Medicine, Viruses Responses to the COVID-19 pandemic